Organization · Type 2 NPI

Department of Health and Hospitals

Substance Use Disorder Rehabilitation Clinic/Center · Lake Charles, LA

NPI number 1962457358 Active

Practice location

4105 Kirkman St
Lake Charles, LA 70607-4603

Fax (337) 475-8054

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X283 (LA)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1962457358

Department of Health and Hospitals's National Provider Identifier is 1962457358, issued on May 23, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Lake Charles, LA. The record was last updated on Jan 13, 2012.